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General NPI Number Information
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NPI Number | 1184416430
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Entity Type | Individual
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Provider Name | BRENNAN KLAASSEN BSN, RN
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Gender | Male
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | SIUE SCHOOL OF NURSING ALUMNI HALL ROOM 2117
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City | EDWARDSVILLE
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State | IL
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Zip | 62026-0001
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Country | US
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Telephone | 618-650-3956
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Fax |
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Provider Business Mailing Address
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Address Line | 3210 S LEAVITT ST
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City | CHICAGO
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State | IL
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Zip | 60608-6017
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Country | US
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Telephone | 773-706-4156
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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